IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion

IgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The...

Full description

Saved in:
Bibliographic Details
Main Authors: Hirohito Sugawara, Tomokazu Takahashi, Yukishige Kimura, Azumi Matsui, Tamaki Matsumoto, Kimio Nishisato, Mitsuhiro Nishimura
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2023/9223342
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:IgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The patient underwent pericardial drainage, and the symptoms were gradually alleviated. IgG4 levels were elevated in the serum and pericardial effusions. A biopsy specimen of 18F-FDG accumulated in the submandibular gland showed lymphocyte infiltration with IgG4-positive cells. The patient was diagnosed with IgG4-related pericarditis. Glucocorticoids resolved serological and imaging abnormalities. Prompt treatment improves the disease status.
ISSN:2090-6412